Individual provider Active NPI

Amy Jo Slone Legg, APRN

  • Nurse Practitioner
  • Coconut Creek, FL
National Provider Identifier
1215895883
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11044855 Issued in FL
Practice address
4400 W Sample Rd Ste 244
Coconut Creek, FL 33073-3473
Phone
(772) 260-7326
NPI assigned
Jan 13, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11044855 FL Primary

Addresses

Primary practice location

4400 W Sample Rd Ste 244
Coconut Creek, FL 33073-3473

Mailing address

3022 SW Grapevine LN
Palm City, FL 34990-3254
Phone (772) 260-7326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260424001906 FL Practitioner - Nurse Practitioner 5193292399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Practice addresses (Care Compare)

1095 NW Saint Lucie W Blvd
Port Saint Lucie, FL 34986-1719
Phone (772) 785-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11044855FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Med LLC CurrentSince Oct 12, 2025 Accepting new patients

Locations

4400 W Sample Rd
Ste 244
Coconut Creek, FL 33073
Phone (954) 977-4871

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1215895883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 SW GRAPEVINE LN",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903254",
            "telephone_number": "772-260-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W SAMPLE RD STE 244",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733473",
            "telephone_number": "772-260-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLONE LEGG",
        "first_name": "AMY",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11044855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.